Screening
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Who needs it
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How often
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Type 2 diabetes or prediabetes
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All adults starting at age 45 and adults with no symptoms at any age who are overweight or obese and have 1 or more additional risk factors for diabetes
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At least every 3 years
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Alcohol misuse
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All adults
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At routine exams
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Blood pressure
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All adults
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Yearly checkup if your blood pressure is normal.
Normal blood pressure is less than 120/80 mmHg.1
If your blood pressure reading is higher than normal, follow the advice of your healthcare provider.
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Breast cancer
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All women2
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Screening with a mammogram every year is an option starting at age 40. Talk to your healthcare provider regarding your recommended frequency depending on your risk factors.
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Cervical cancer
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All women, except those who had a hysterectomy (with removal of the cervix) for reasons not related to cervical cancer and no history of cervical cancer or serious precancer
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Women between the ages of 30 and 65 should have a Pap test plus an HPV test (called "co-testing") every 5 years. This is the preferred approach. But it is also acceptable to continue to have Pap tests alone every 3 years.
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Colorectal cancer
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Women of average risk ages 45 years and older
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Several tests are available and used at different times.
Tests include:
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Flexible sigmoidoscopy every 5 years, or
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CT colonography (virtual colonoscopy) every 5 years, or
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Colonoscopy every 10 years, or
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Yearly fecal occult blood test, or
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Yearly fecal immunochemical test every year, or
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Stool DNA test, every 3 years
You will need a follow-up colonoscopy if you choose any test other than a colonoscopy and you have an abnormal result. Screening recommendations vary among expert groups. Talk with your doctor about which test is best for you.
Some people should be screened using a different schedule because of their personal or family history. Talk with your doctor about your health history and what colorectal cancer screening schedule is best for you.
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Chlamydia
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Women at a higher risk for infection
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At routine exams if at risk
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Depression
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All adults in clinical practices that have staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up
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At routine exams
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Gonorrhea
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Sexually active women at a higher risk for infection
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At routine exams if at risk
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Hepatitis C
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Adults at a higher risk; 1 time for those born between 1945 and 1965
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At routine exams if at risk
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HIV
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All women
|
At routine exams
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Lipid disorders
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All women age 45 and older at a higher risk for coronary artery disease
For women ages 19 to 44, screening should be based on risk factors; talk with your healthcare provider
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At least every 5 years
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Obesity
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All adults
|
At routine checkups
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Syphilis
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Women at a higher risk for infection
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At routine exams if at risk
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Tuberculosis
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Adults at a higher risk for infection
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Check with your healthcare provider.
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Vision
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All adults3
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Baseline comprehensive exam at age 40; if you have a chronic disease, check with your healthcare provider for exam frequency.
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Counseling
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Who needs it
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How often
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Breast cancer, chemoprevention
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Women at high risk
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When risk is identified
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BRCA mutation testing for breast and ovarian cancer susceptibility
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Women with a higher risk
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When risk is identified
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Diet and exercise
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Adults who are overweight or obese
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When diagnosed and at routine exams
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Domestic violence
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Women of child-bearing age and older women with a higher risk
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At routine exams
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Sexually transmitted disease prevention
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Adults at a higher risk for infection
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At routine exams
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Tobacco use and tobacco-related disease
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All adults
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Every exam
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Immunization
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Who needs it
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How often
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Tetanus/diphtheria/pertussis (Td/Tdap) booster
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All adults
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Td: every 10 years
Tdap: substitute a one-time dose of Tdap for a Td booster after age 18, then boost with Td every 10 years
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Chickenpox (varicella)
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All adults in this age group who have no record of previous infection or vaccinations
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2 doses; the second dose should be given at least 4 weeks after the first dose
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Measles, mumps, rubella (MMR)
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All adults in this age group who have no record of previous infection or vaccinations
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1 or 2 doses
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Flu vaccine (seasonal)
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All adults
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Yearly, when the vaccine becomes available in the community
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Hepatitis A vaccine
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People at risk4
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2 doses given 6 months apart
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Hepatitis B vaccine
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People at risk5
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3 doses; the second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose (and at least 4 months after the first dose).
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Haemophilus influenzae type B (HIB)
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People at risk
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1 to 3 doses
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Meningococcal
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People at risk**
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1 or 2 doses
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Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)
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People at risk
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1 or 2 doses
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